2002, 06-20 Permit App: 02004989 SewerProject Number: 02004989 Inv: 1 Application Date: 6/20/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45193.0805 Block: 7 Lot: 5
SiteAddress: 1215 S CENTER DR Owner: Name: PETERSON, ARTHUR A & ALICE
SPOKANE, WA USA 00000 Address: 3714 E 23RD
Location:: SPO SPOKANE, WA 99223
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 22,008 Sq Ft Width: 131 Depth: 168 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: i
Review Information: :.
Review
Review by Utilities
1
Released B3� Q
Permits:
Sewer Connection Permit
Contractor: JOHN RUNYAN
Address: 1112 E EXCELSIOR RD
SPOKANE, WA 99224
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: JOHN RUNYAN HOMES
Phone: (509) 389-3663
Units Unit Desc Fee Amount
I NUMBER OF $85.00
1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Operator: RMB Printed By: RMB Print Date: 6/20/2002
Project Number: 02004959 Inv: I Application Date: 6/20/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:_ _.
LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO
ENGINEERS
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be it permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RM B Printed By: RMB Print Date: 6/211/21102